LISA KIMBERLY RICHARDSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048296

License Status

EXPIRED

Business

First Name

LISA

Middle

KIMBERLY

Last Name

RICHARDSON

Suffix

Business Name

LISA KIMBERLY RICHARDSON MD

Original Issue Date

06/09/2004

Effective Date

06/09/2004

Expiration Date

06/30/2007

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/12/2011